ICD-10-PCS code structure

Section:
  0 = Medical and Surgical

Body System:
  L = Tendons

Root Operation:
  W = Revision

Body Part:


See Terms used in Medical and Surgical

Select the appropriate procedure code based on the approach & device:

0LWX - Upper Tendon

  • Open Approach

    Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

    • Drainage Device
      • 0LWX00Z - Revision of Drainage Device in Upper Tendon, Open Approach
    • Autologous Tissue Substitute
      • 0LWX07Z - Revision of Autol Sub in Up Tendon, Open Approach
    • Synthetic Substitute
      • 0LWX0JZ - Revision of Synthetic Substitute in Up Tendon, Open Approach
    • Nonautologous Tissue Substitute
      • 0LWX0KZ - Revision of Nonaut Sub in Up Tendon, Open Approach
    • Other Device
      • 0LWX0YZ - Revision of Other Device in Upper Tendon, Open Approach

  • Percutaneous Approach

    Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure

    • Drainage Device
      • 0LWX30Z - Revision of Drainage Device in Upper Tendon, Perc Approach
    • Autologous Tissue Substitute
      • 0LWX37Z - Revision of Autol Sub in Up Tendon, Perc Approach
    • Synthetic Substitute
      • 0LWX3JZ - Revision of Synthetic Substitute in Up Tendon, Perc Approach
    • Nonautologous Tissue Substitute
      • 0LWX3KZ - Revision of Nonaut Sub in Up Tendon, Perc Approach
    • Other Device
      • 0LWX3YZ - Revision of Other Device in Upper Tendon, Perc Approach

  • Percutaneous Endoscopic Approach

    Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

    • Drainage Device
      • 0LWX40Z - Revision of Drainage Device in Up Tendon, Perc Endo Approach
    • Autologous Tissue Substitute
      • 0LWX47Z - Revision of Autol Sub in Up Tendon, Perc Endo Approach
    • Synthetic Substitute
      • 0LWX4JZ - Revision of Synth Sub in Up Tendon, Perc Endo Approach
    • Nonautologous Tissue Substitute
      • 0LWX4KZ - Revision of Nonaut Sub in Up Tendon, Perc Endo Approach
    • Other Device
      • 0LWX4YZ - Revision of Other Device in Upper Tendon, Perc Endo Approach

  • External Approach

    Procedures performed directly on the skin or mucous membrane and procedures performed indirectly by the application of external force through the skin or mucous membrane

    • Drainage Device
      • 0LWXX0Z - Revision of Drainage Device in Upper Tendon, Extern Approach
    • Autologous Tissue Substitute
      • 0LWXX7Z - Revision of Autol Sub in Up Tendon, Extern Approach
    • Synthetic Substitute
      • 0LWXXJZ - Revision of Synth Sub in Up Tendon, Extern Approach
    • Nonautologous Tissue Substitute
      • 0LWXXKZ - Revision of Nonaut Sub in Up Tendon, Extern Approach